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Individual

BROOKE NASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
310 BENNETT AVE, RAVENNA, OH 44266-3211
(330) 839-9966
Mailing address
5445 SMITH RD, BROOKPARK, OH 44142-2026

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/26/2020
Last updated
02/26/2020
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